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Pulmonary Hypertension: Classification and Treatment Principles

…risk factors for heart failure with preserved ejection fraction, echocardiographic findings, and left atrial size must also be considered. Patients with mPAP greater than 20…

Acute exacerbation of COPD: quick reference

…Known COPD or another clear risk of hypercapnic respiratory failure 88 to 92 percent No risk of hypercapnia and a normal blood gas Usually 94…

Opioids in acute pain: quick reference for dosing and conversion

…the preparation Avoid in renal failure, heart failure, a history of peptic ulcer, and old age Titrate according to the effect and the respiratory rate…

Paracentesis

…malignancy, tuberculous peritonitis or pancreatic ascites. Therapeutic paracentesis: Tense ascites with abdominal discomfort, early satiety or respiratory compromise. Diuretic refractory or diuretic intolerant ascites, as…

ACE Inhibitor Cough and Angioedema: Practical Management

…the management of hypertension, chronic ischemic heart disease, heart failure with reduced ejection fraction (HFrEF), and post myocardial infarction (MI) care. Despite their proven morbidity…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…pH and bicarbonate. An arterial blood gas is needed mainly when concomitant respiratory failure or an exact assessment of oxygenation requires it [3]. Calculation of…

Lung function and respiration

…1 respiratory failure: PaO₂ < 8 kPa with a normal or low PaCO₂ — a problem of oxygenation. Type 2: PaO₂ < 8 kPa with a…

Opioid therapy in severe pain

…morphine Morphine has an active renally excreted metabolite that causes late sedation and respiratory depression Marked liver failure A reduced dose of all of them…

Type 2 Myocardial Infarction: Mechanisms and Management

…respiratory failure with severe hypoxaemia, severe anaemia, and hypotension or shock. Conversely, mechanisms that increase myocardial oxygen demand include sustained tachyarrhythmia and severe hypertension, with…

Extracorporeal cardiopulmonary resuscitation (ECPR)

…Life Support (ECLS) encompasses several extracorporeal systems designed to assist in cases of cardiac or respiratory failure by means of an extracorporeal pump and oxygenator…

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